title: [Successful tracheal intubation using the pediatric Airtraq optical laryngoscope in a pediatric patient with Robin sequence].
abstract: We report a successful use of pediatric Airtraq optical laryngoscope in a pediatric patient with Robin sequence. Robin sequence accompanies a characteristic facies and its clinical presentation is marked by micrognathia, retrognathia, glossoptosis, and respiratory obstruction. A 1-year-5 month-old boy with Robin sequence was scheduled for palate repair under general anesthesia. After anesthetic induction with thiopental and neuromuscular paralysis with rocuronium, initial laryngeal view with the conventional Macintosh laryngoscope was Cormack-Lehane grade II due to restricted mouth opening and micrognathia. The Airtraq Pedi provided the glottic view with Cormack-Lehane grade I and a preformed tracheal tube (ID 4 mm) was placed correctly into the trachea through the built-in tube channel. We conclude that the pediatric Airtraq has potential advantages over conventional direct laryngoscopy in children with difficult airway.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, Shimotsuke 329-0498.
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Iwai
authors.forename: Riichiro
authors.initials: R
authors.lastname: Kanai
authors.forename: Yuko
authors.initials: Y
authors.lastname: Takaku
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Hirabayashi
authors.forename: Norimasa
authors.initials: N
authors.lastname: Seo
mesh_terms: D000768:Anesthesia, General; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D020704:Laryngoscopes; D008297:Male; D010159:Palate / Q000601:surgery; D010855:Pierre Robin Syndrome / Q000601:surgery*